Ryan Black, PA-C
Ryan Black, PA-C is a Physician Assistant in Rigby, Idaho. Qualified in 2012, 14 years ago. Practices with High Valley Dermatology and Dermatologic Surgery PLLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 14
- Licensed in
- TX
- In the registry since
- 2012
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
703 Rigby Lake DrRigby, ID 83442-5192
Phone: (208) 745-0200
Fax: (208) 745-0212
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2085 Providence Way, Idaho Falls, ID 83404-4945 — (208) 516-1846
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (TX) |
|---|
Record details
| NPI number | 1932452091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 25, 2012 |
| Last updated in NPPES | October 24, 2023 |
| Certification date | October 24, 2023 |
| Mailing address | 703 Rigby Lake Dr, Rigby, ID 83442-5192 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | High Valley Dermatology And Dermatologic Surgery Pllc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Rigby
-
Devri Burnell
167 E 1st S, Rigby, ID 83442-1401 · (208) 745-8747
-
Tina Marie Murdock, PA-C
4458 E 100 N, Rigby, ID 83442-5806 · (208) 569-7565
-
Mr. Quinn Donald Ranson, PA-C
703 Rigby Lake Dr, Rigby, ID 83442-5192 · (208) 745-0200
-
Karen Del Rosario Silva Hardin
290 W 1st S, Rigby, ID 83442-1318 · (208) 290-0217